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Henwick Halt Medical CentreTel: 01905 422883
Lyppard Grange Medical CentreTel: 01905 616977
Out of Hours
If you need urgent attention or advice please telephone 01905 422883 or 01905 616977 and an answer phone will give you the number of the GP Emergency Service
NHS New Emergency Steroid Card
Severn Valley Medical Practice would like to draw your attention to the recent patient safety alert on the new NHS Steroid Emergency Card. In August 2020, a joint National Patient Safety Alert was issued regarding the early recognition and treatment of adrenal crisis in adults.
All patients with primary adrenal insufficiency are steroid dependent. In addition, some patients who take oral, inhaled or topical steroids for other medical conditions may develop secondary adrenal insufficiency and become steroid dependent. The latter includes:
· Patients taking oral prednisolone ≥5mg/day, or dexamethasone ≥ 0.5mg/day, or hydrocortisone ≥15mg/day for 4 weeks or longer
· Patients taking inhaled beclometasone >1000mcg/day or fluticasone >500mcg/day (or equivalent)
· Patients taking nasal steroids >1000mcg/day
· Patients taking oral prednisolone >40mg (or equivalent) for longer than 1 week or those who have repeated short courses of oral steroids
· Patients taking a course of oral glucocorticoid within 1 year of stopping long-term therapy
You have received this information as you fit within the above criteria and should retain a copy of the new NHS Steroid Emergency Card. You can view, print and download an electronic version of the new card from the Society for Endocrinology. Physical copies of the card are available to collect from local community pharmacies.
The omission of steroids for patients with primary or secondary adrenal insufficiency can lead to adrenal crisis; a rare medical emergency which can be fatal if left untreated. If these patients become acutely ill or are subject to major body stressors, such as from trauma or surgery, they require higher doses of steroids to prevent an adrenal crisis.
We would like to highlight the occurrence of adrenal crisis is relatively uncommon and medical staff are not always aware of the risk of adrenal crisis, or the correct clinical response should one occur. Presenting your new NHS Steroid Emergency Card to medical staff can flag up your risks of an adrenal crisis and sets out the initial steps for managing it.
Patients at risks of adrenal insufficiency usually require their usual steroid dose to be increased at times of stress, intercurrent illness and surgical procedures. We advise patients at risks of primary and secondary adrenal insufficiency (steroid dependent) to ask their GP, clinical pharmacists or their specialist team for advice on ‘sick day rules’ to increase their oral glucocorticoid should they become unwell. An easy read patient information leaflet on 'Sick Day' rules is available here.
Please do not hesitate to contact us if you require further clarification.
Many medical conditions are stable over long periods, and thus the doctor may authorise repeat prescriptions between checks on your progress.
All the prescribing information is stored on computer and the counterfoil for each prescription shows the long-term medicines you take. When requesting a repeat prescription you should return your counterfoil to the surgery indicating which items you require. Only request items that are necessary, do not hoard medicines. Do not wait until you are almost out of tablets, as the doctor will sometimes want to see you before giving you the prescription. Requests for repeat prescriptions require a minimum of 3 working days. If you have mislaid the counterfoil you must request the repeat medication in writing giving your name, address and the medication required. Requests for repeat prescriptions cannot normally be accepted over the telephone as this may lead to mistakes and block emergency calls. The elderly and infirm patients may telephone for their prescriptions.
DUE TO THE CURRENT SITUATION WITH COVID-19 BOTH SURGERIES ARE ONLY ACCEPTING REPEAT PRESCRIPTION REQUESTS OVER THE TELEPHONE, VIA PATIENT ACCESS OR EMAIL.
PLEASE USE THE FOLLOWING EMAIL ADDRESSES DEPENDING ON YOUR REGISTERED SURGERY.
HENWICK HALT: HWCCG.HENWICK@NHS.NET
LYPPARD GRANGE: SOWOCCG.LYPPARD@NHS.NET
YOU MUST STILL ALLOW 3 WORKING DAYS FOR YOUR REQUEST TO BE PROCESSED.
You can also order your prescriptions on-line.
To order a repeat prescription please click on the Patient Access button below:
For help on Using Patient Access please click on the link on the right.
Click Here to order your repeat prescription online
Please allow 72 hours, excluding weekends and Bank Holidays, for your request to be processed. Any problems please telephone the surgery.